Open AccessPerforated ventricular aneurysm in a male suffering from pneumonia
Author(s) -
Eber Bernd,
Neumann HansjÖRg,
Dusleag Johann,
Klein Werner,
Rigler Bruno
Publication year - 1991
Publication title -
clinical cardiology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.263
H-Index - 72
eISSN - 1932-8737
pISSN - 0160-9289
DOI - 10.1002/clc.4960141013
Subject(s) - medicine , pericardial effusion , aneurysm , pericarditis , heart aneurysm , ventricle , sinus tachycardia , perforation , chest pain , radiology , cardiology , pneumonia , surgery , punching , materials science , metallurgy
In a 49‐year‐old male with fever, dyspnea, and chest pain, thoracic x‐ray revealed pneumonia with enlarged heart silhouette. Antibiotics were successful, pneumonia healed and complaints disappeared. Yet, during the following 3 months, echocardiography showed mild persistent pericardial effusion while in ECG both sinus tachycardia and ST‐T changes were found suggesting chronic pericarditis. Magnetic resonance imaging, however, revealed an extensive posterobasal aneurysm with pericardial effusion substantiated by ventriculography. Coronary angiography showed diffuse three‐vessel disease. Surgery revealed aneurysm with distinct perforation of the left ventricle and pericardial thrombi, thus aneurysmectomy as well as bypass grafts were performed. One year postoperatively, magnetic resonance imaging confirmed the absence of aneurysm with only a small irreversible posterobasal perfusion defect remaining as shown by thallium scintigraphy.